Fill a prescription

  If you don’t yet have your ID card and you need to fill a prescription, just print out this form and give it to your pharmacist.

$$ saving tips: Try a generic version of your medication and save money. Also, you could get home delivery of certain drugs and save money at the same time.
 
 
 
 

Select Drug Lists

  If you purchased your drug coverage on a state or federal health insurance exchange, you should use our Select Drug List to see what’s covered.  To view your Select Drug list, go to the forms library and select your state.
 
 
 
 

Drug List Exception Request

  If your doctor prescribes you a drug that’s not on the Select Drug List, you or your doctor may ask for an exception for certain reasons.